Methods for the treatment of apoptosis-related diseases by batroxobin

ABSTRACT

A pharmaceutical composition for prophylaxis and/or treatment of apoptosis-related diseases which comprises as an effective ingredient batroxobin.

FIELD OF THE INVENTION

This invention relates to a pharmaceutical composition for prophylaxisand/or treatment of apoptosis-related disease which comprises as aneffective ingredient batroxobin.

BACKGROUND OF THE INVENTION

Apoptosis is one of the courses or manners of cell death proposed byKerr, Wyllie, Currie et al. (see Brit. J. Cancer, 26, 239 (1972)). Inembryology, there has been known cell death which occurs infallibly at acertain stage of embryogenesis at a certain place. This is also called"programmed cell death" to mean that it occurs according to the programof embryogenesis. Accordingly, it is morphologically differentiated from"necrosis" which is the course wherein necessary cells are injured todeath. Morphological features of apoptosis include lack of contact withneighboring cells, concentration of cytoplasm, chromatin condensationand nucleus condensation which relate to endonuclease activity, andnucleus segmentation. Further, there are also observed disappearance ofmicrovilli on the cell surface and planing of the cell surface (membraneblebbing). Moreover, fragmentation of DNA by endonuclease activity isalso observed and cells form cellular fragments called apoptotic body,the resultant apoptotic body is rapidly and phagocytotically degraded byneighboring cells and macrophages. As a result, it is believed thatapoptosis occurs.

It has been known that living bodies keep homeostasis by balancing cellgrowth with cell death. In the past, regulation of cell growth has beenstudied well but regulation of cell death has hardly been known. It hasbeen known that apoptosis is induced by the lack of biologically activesubstances such as nerve growth factor (NGF) and colony stimulatingfactor (CSF), apoptosis inducing factor such as tumor necrosis factor(TNF), lymphotoxin, and gene products such as c-myc and p-53 (see Cell,69, 119 (1992); Nature, 362,849 (1993)). It has also been known thatapoptosis is inhibited by apoptosis inhibiting factor such as bcl-2 (seeNature, 359, 552 (1992); Nature, 359, 554 (1992)).

Recently, it has been recognized that apoptosis has important relationto various diseases and many trials have been made to induce or regulatecell apoptosis so as to diagnose, prevent and treat these diseases, towhich attention has been drawn (see Science, 267,1456 (1995)).

Further, attention has also been drawn to the relation of apoptosis withhippocampal tardive nerve cell death in postischemic nerve cell death.Namely, when both side carotid arteries of Mongolian gerbil or rat areoccluded for a short time (e.g., about 10 minutes) and then recanalized,cell death is observed in the both hippocampal CA1 region after two days(48 hours) and the cells are reduced after four days (96 hours) andvacuole is observed in dendrite, and disappear after one week.

The brain is a tissue in which oxygen consumption are highest in all thetissues and a place where a large amount of energy is consumed.Accordingly, the brain is weak against ischemia and is liable to undergofunction disorder. Nerve cell death is markedly observed duringembryogenesis and the cells constantly die after they are born. It isbelieved that about 100,000 nerve cells in human cerebral cortex willdie a day. Nerve cells cannot regenerate. Accordingly, if the cells dieto excess due to certain damage, function disorder will occur.Particularly, nerve cell death caused by ischemia, drugs, stress, orviruses is problematic. It becomes therefore much more important toelucidate the mechanism of the cell death so as to develop agents ormethods for the treatment of neuronosis such as cerebral ischemiadisorder or neuropathy due to AIDS, or to obtain a key to understand thelong viability of the nerve cells.

Attention has also been drawn to the relation of apoptosis with neurodegenerative diseases such as Alzheimer's disease or Parkinson'sdisease, and it becomes more important to elucidate the mechanism ofdevelopment of the diseases and to establish therapeutic methods ordrugs for the treatment thereof.

SUMMARY OF THE INVENTION

An object of the present invention is to provide a pharmaceuticalcomposition which regulates apoptosis so as to prevent and/or treatapoptosis-related diseases.

The inventors of the present invention has found that batroxobin iseffective for prophylaxis and/or treatment of heart disease and cerebraldisease in ischemia reperfusion and based on the finding has filed apatent application (U.S. Ser. No. 08/665,982 filed Jun. 19, 1996claiming the priority of Japanese Patent Application No. Hei 7-161665).The invention is based on the finding that batroxobin inhibits"necrosis" which is a course in which cells are damaged to death. Asdescribed earlier, "apoptosis" and "necrosis" are morphologicallydifferent and the application is silent with respect to the relationbetween batroxobin and inhibition of apoptosis. The inventors of thepresent invention has studied the pharmacological action of batroxobinmore in detail and found that batroxobin has the action to inhibitapoptosis and accomplished the present invention based on this finding.

Batroxobin used in the present invention is a thrombin-like enzymederived from snake venom of Bothrops atrox moojeni and examples ofcommercially available formulations of the enzyme include "batroxobinformulation" manufactured by Tobishi Pharmaceutical Co., Ltd.

The pharmaceutical composition for prophylaxis and/or treatment ofapoptosis-related diseases of the present invention inhibits apoptosisand can be used as a drug for prophylaxis and/or treatment ofapoptosis-related diseases. Examples of the apoptosis-related diseasesinclude ischemic disease (excluding reperfusion injury), neurodegenerative disease, peripheral nerve damage, apalstic anemia, liverdamage and HIV infection. Examples of the ischemic diseases includeheart disease such as cardiac infarction, cardiac angina, congestiveheart failure and arrhythmia, and cerebrovascular diseases such ascerebral stroke, subarachnoidal hemorrhage, cerebral infarction, andcerebral thrombosis. Examples of the neuro degenerative diseases includeAlzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis,pigmented retinitis, and cerebelli degeneration.

Batroxobin formulation (a thrombin-like enzyme derived from snake venomof Bothrops atrox moojeni)(1 ml) contains the following components.

    ______________________________________                                        batroxobin (effective ingredient)                                                                     10     BU                                             chlorobutanol (preservative)                                                                          3      mg                                             gelatin hydrolysate (stabilizer)                                                                      0.1    mg                                             sodium chloride (isotonizing agent)                                                                   9      mg                                             distilled water for injection                                                                         to 1   ml                                             ______________________________________                                    

Dosage of batroxobin in the present invention depends on the conditionsand typically 1 to 20 batroxobin units (Batroxobin Unit, abbreviated asBU) per day per one time for human adult although it may vary dependingon the conditions. The batroxobin formulation can suitably diluted andadministered by intravenous drip infusion, intravenous injection orintraarterial injection. The batroxobin unit described herein is a unitrepresenting an enzymatic activity of batroxobin and such an activitythat the coagulation of plasma is taken place in 19.0±0.2 seconds when0.1 ml of a batroxobin solution is added to 0.3 ml of standard humanplasma containing citric acid at a temperature of 37° C. is defined as 2BU.

Acute toxicity test for batroxobin was conducted by intravenousadministration to mice, rats, rabbits and dogs. The resulted LD₅₀ values(BU/kg) were as follows:

    ______________________________________                                        kinds of animal LD.sub.50 value (BU/kg)                                       ______________________________________                                        mice (ddY strain)                                                                             192 to 210                                                    rats (Wistar strain)                                                                          105 to 110                                                    rabbits (NW species)                                                                          >300                                                          dogs (hybrid)   190 to 208                                                    ______________________________________                                    

The present invention will be specifically described with reference toExamples to which the present invention is not limited.

EXAMPLES

Apoptosis inhibitory effect of batroxobin in cerebral ischemiareperfusion injury model of rats method of experiment

Fifty one male Wister rats weighing 250 to 300 g were used and dividedinto four groups: a control group (no treatment) of 6 rats, apseudo-operating group of 9 rats, an ischemia control group of 18 ratsand a batroxobin administering group of 18 rats. According to the Smithet al method (see Acta. Neurol. Scand, 69, 385 (1984)), common carotidarteries at both sides were occluded and average arterial blood pressurewas maintained to 50 mmHg by bloodletting. After the common carotidarteries were occluded for ten minutes, 2 ml of physiological saline wasadministered to the ischemia control group and reperfusion wasconducted. After 24, 48 and 96 hours, the rats were sacrificed bydecapitation. To the batroxobin administering group, 2 ml of batroxobinsolution in physiological saline was intravenously administered in theamount of 1.6 BU/kg. To the pseudo-operating group, the same proceduresas in the ischemia group were conducted except that the occlusion ofcommon carotid arteries and bloodletting were not conducted. To thecontrol (no treatment) group, no treatment was conducted but the ratswere directly sacrificed by decapitation.

Cell apoptosis was observed using "In situ cell death detection kit AP"(available from Boehringer Mannheim). Namely, frozen tissue section wasfixed by 4% paraformaldehyde (available from Sigma), washed three timeswith PBS (phosphate buffered saline) and brought into contact with aTUNEL (TdT using nick end labeling) reaction mixture to label a DNAchain degradation product. The mixture was then allowed to stand at 37°C. for 45 minutes, washed with PBS, to which converter-AP was added andthe mixture was treated at 37° C. for 60 minutes. In conventionalmanners, dehydration, clearing and mounting were conducted to observeapoptosis under light microscope. Chromatin of apoptosis cells wascondensed in the form of meniscus around nuclear membrane, andpurple-blue apoptotic body was observed. Apoptosis positive cells wereobserved and the number of the cells per one mm length was counted underlight microscope (magnification of 400). Statistical analysis wasconducted according to Student's t-test and the results are expressed byaverage±standard deviation.

Results

In the control group (no treatment) and the pseudo-operating group,apoptotic body was not observed. In the ischemia control group,apoptosis positive cells were observed in the hippocampal CA1 region 24hours after reperfusion. Chromatin of the cells were condensed in thenucleus in the form of typical meniscus and the existence of apoptoticbody was recognized. With the time course after reperfusion, the numberof apoptosis positive cells increased and reached the maximum after 96hours. In the batroxobin administering group, apoptotic body was notobserved 24 hours after reperfusion. The existence of apoptotic body wasrecognized 48 hours and 96 hours after reperfusion, but the number ofapoptosis positive cells were markedly decreased as compared with theischemia control group (see Table 1).

As explained above, batroxobin shows remarkable inhibitory actionagainst apoptosis.

                  TABLE 1                                                         ______________________________________                                        Inhibitory action of batroxobin against apoptosis in the                      hippocampal CA1 region of rats (the number of apoptosis                       positive cells per one mm length)                                             Number     Reperfusion time (hours)                                           Group  of rats 24        48        96                                         ______________________________________                                        no     6       0         0         0                                          treatment                                                                     pseudo-                                                                              9       0         0         0                                          operating                                                                     ischemia                                                                             18      2.83 ± 1.47                                                                          7.33 ± 2.75                                                                          26.17 ± 4.83                            control                                                                       batroxobin                                                                           18       0**       2.50 ± 1.05**                                                                         6.67 ± 1.75**                         admin-                                                                        istering                                                                      ______________________________________                                         **: Comparison with the pseudooperating group, p < 0.01                  

The pharmaceutical composition of the present invention for prophylaxisand/or treatment of apoptosis-related disease which comprises batroxobinshows the inhibitory action against apoptosis and is effective as anagent for prophylaxis and/or treatment of apoptosis-related diseases.

What is claimed is:
 1. A method of inhibiting apoptosis, comprisingadministering an effective amount of batroxobin to a subject in needthereof, wherein the subject in need thereof is suffering from a diseaseselected from the group consisting of ischemic disease (excludingreperfusion injury), neuro degenerative disease, peripheral nerveinjury, a plastic anemia, liver damage, and HIV infection.
 2. The methodof claim 1, wherein the subject in need thereof is suffering from neurodegenerative disease.
 3. The method of claim 1, wherein the subject inneed thereof is suffering from peripheral nerve injury.
 4. The method ofclaim 1, wherein the subject in need thereof is suffering from aplasticanemia.
 5. The method of claim 1, wherein the subject in need thereof issuffering from HIV infection.
 6. The method of claim 1, wherein thebatroxobin is administered in the form of a pharmaceutically acceptablecomposition.